Freedom of Information Request Fire Department

I, the undersigned, do hereby request to examine and/or copy those records maintained by the City of Effingham which pertain to:

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I, the undersigned, do hereby request to examine and/or copy those records maintained by the City of Effingham which pertain to:

examine

copy

3

Please specify department and records sought.

Please specify department and records sought.

4

I have read and understand the fees set forth in the "Schedule of Duplication". At my request, copies may be mailed to me via certified mail at $5.75 for the first ounce and $.20 per each additional ounce.l I also understand that all fees must be prepaid.

I have read and understand the fees set forth in the "Schedule of Duplication". At my request, copies may be mailed to me via certified mail at $5.75 for the first ounce and $.20 per each additional ounce.l I also understand that all fees must be prepaid.

I do want copies mailed to me at the above-listed address.

I do want documents emailed to me at the above-listed email address.

I do NOT want copies mailed to me at the above-listed address.

I do NOT want documents emailed to me at the above-listed email address.